Fossen, Richard F

Fossen, Richard F is an individual health care provider with primary practice located at 9601 Townline Rd , Minocqua WI 54548-1390. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fossen, Richard F can be contacted via phone (715) 358-1000.

Contact Information

Primary practice address
9601 Townline Rd Minocqua WI 54548-1390
Phone: (715) 358-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 26967 Wisconsin
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 26967 Wisconsin

Profile Details

NPI number 1104927896
LBN Legal business name Fossen, Richard F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated May 31st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104927896 NPPES
Wisconsin MEDICAID APPR

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